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A6L-81237-43452

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 0 call cases
Sex
Male
Age at first dose
12-15
ZIP prefix
945 / CA
Registered
2021-09-09
Relationship
Child or adolescent in my care
Guardian
5JC-20406-40845
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-09
    Registered in v-safe
  3. 2021-09-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · Fever · Headache
    Adult check-in
  4. 2021-09-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Itching · None
    Adult check-in
  5. 2021-09-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-09-14
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Myalgia — Feeling: Good
    Free text: Just some little muscle pain
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-09-17
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-09-22
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  9. 2021-09-29
    Survey response — day 21, dose 1, dependent
    MedDRA: Muscle spasms — Feeling: Fair
    Free text: Finger and wrist spasms
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-06
    Dose 2 — Pfizer-BioNTech
  11. 2021-10-10
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-10-11
    Survey response — days 1–6 daily, dose 2, dependent
    MedDRA: Myalgia — Feeling: Fair · Site: Pain, Itching · Fever · Be unable to do your normal daily activities
    Free text: Mild muscle soreness
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-12
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-10-13
    Survey response — day 7, dose 2, dependent
    MedDRA: Myalgia — Feeling: Fair · Site: Pain
    Free text: Muscle pain from running
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-20
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  16. 2021-10-27
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  17. 2021-11-03
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  18. 2022-01-05
  19. 2022-04-06
  20. 2022-10-06
    Dose 3 — Pfizer-BioNTech
  21. 2022-10-06
  22. 2022-10-06
    Health check-in — day 0, dose 3, dependent
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  23. 2022-10-07
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  24. 2022-10-10
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Confusional state, Memory impairment — Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Free text: Slight confusion and forgetfulness
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-11
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  26. 2022-10-13
    Health check-in — day 7, dose 3, dependent
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  27. 2022-11-03
    Survey response — day 28, dose 3, dependent
    MedDRA: Angina pectoris — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Heart pain
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-11-12
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  29. 2022-11-17
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  30. 2023-01-05
  31. 2023-04-06

Vaccinations

DoseDateManufacturerCo-administered
12021-09-08Pfizer-BioNTech No
22021-10-06Pfizer-BioNTech No
32022-10-06Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-09-14

Systemic reaction (other): Just some little muscle pain

Release 9 — day 21, dose 1, dependent

2021-09-29

Symptoms: Finger and wrist spasms

Release 10 — days 1–6 daily, dose 2, dependent

2021-10-11

Systemic reaction (other): Mild muscle soreness

Release 10 — day 7, dose 2, dependent

2021-10-13

Systemic reaction (other): Muscle pain from running

Release 12 — days 1–6 daily, dose 3, dependent

2022-10-10

Systemic reaction (other): Slight confusion and forgetfulness

Release 12 — day 28, dose 3, dependent

2022-11-03

Symptoms: Heart pain

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDAngina pectoris · · ✓
SDMuscle spasms · · ✓
SROConfusional state · · ✓
SROMemory impairment · · ✓
SROMyalgia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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